Northwestern Medicine Palos Hospital

Commercial Insurance is a type of insurance coverage that pays for medical and surgical expenses that are incurred by the insured. Health insurance is often included in benefit packages through employers. Northwestern Medicine participates with a wide variety of commercial insurance plans to meet the needs of the patient community.

Aetna

Aetna Choice POS
Aetna Choice POS II
Aetna Elect Choice
Aetna EPO
Aetna Health Network Only
Aetna Health Network Option
Aetna HMO
Aetna Illinois Preferred Plan 
Aetna Managed Choice POS
Aetna NAP
Aetna Open Access Elect Choice
Aetna Open Access HMO
Aetna Open Access Managed Choice
Aetna Open Choice PPO (including, but not limited to Aetna Signature Administrators® and Open Choice)
Aetna Performance Network
Aetna Premier Care Network
Aetna Premier Care Network Plus
Aetna QPOS
Aetna Savings Plus
Aetna Select
Aetna Student Health
Aetna Traditional Choice
Aetna Voluntary Group Medical Plan (Indemnity Plan)

Beacon Health Options/Beacon Health Strategies

Beechstreet (PHCS)

Blue Cross Blue Shield

Blue Cross Blue Shield – Blue Advantage HMO
Blue Cross Blue Shield - Blue Choice PPO
Blue Cross Blue Shield – Blue Choice Options
Blue Cross Blue Shield – PPO

Medical Group/IPA Site
Note: Palos Hospital Blue Cross Blue Shield participation will be effective starting January 1, 2023.
HMO Illinois Blue Advantage HMO
Site 475 (Hospitals: Kishwaukee, Valley West, Delnor, Central DuPage, McHenry, Huntley, Woodstock. Physicians: Regional Medical Group) X X
Site 489 (Hospitals: Lake Forest, Northwestern Memorial Hospital. Physicians: Northwestern Medical Group) X

Cigna

Cigna – Open Access
Cigna – Open Access Plus
Cigna – Choice Fund Open Access Plus
Cigna – ChoiceCare PPO
Cigna – EPO
Cigna – Global Health Benefits
Cigna – GWH POS Open Access Plus
Cigna – Local Plus
Cigna – HMO (or POS)
Cigna – HMO (or POS) Open Access
Cigna – Network Open Access
Cigna – Network POS
Cigna - One Health HMO eff 4/1/19
Cigna Plus with Northwestern Medicine (Effective 1/1/2022) Plan 5800
Cigna Plus with Northwestern Medicine (Effective 1/1/2022) Plan 2000
Cigna – POS
Cigna – PPO
Cigna – Shared Administration PPO and OAP
CIGNA Behavioral Health, Inc.

ComPsych – Behavioral Health/Substance Abuse Network

CorVel – Workers' Compensation Program/Network

Coventry Health Care – First Health HMO, PPO and POS

HFN

HFN – PPO (HFN10)
HFN – Workers' Compensation Program/Network

Humana

Humana – Choice POS
Humana – Choice Care PPO
Humana – EPO
Humana – HMO Premier
Humana – HMO Select
Humana – Illinois Platinum HMO
Humana – National Preferred POS – Open Access
Humana – PPO
Humana – Preferred PPO
Humana Behavioral Health

Magellan

MultiPlan/PHCS

United Healthcare

United Healthcare – All Savers
United Healthcare – Choice
United Healthcare – Choice Plus
United Healthcare – Core
United Healthcare – HMO
United Healthcare – HMO Plus
United Healthcare – Navigate
United Healthcare – Open Access
United Healthcare – Options PPO
United Healthcare – Select Plus
United Healthcare – Select
United Healthcare Affiliates – Participate through UHC PPO
United Behavioral Health – Optum

Health exchanges or health insurance marketplaces were established in accordance with the Affordable Care Act (ACA) of 2010. These marketplaces provide a set of government-regulated and standardized healthcare plans where individuals may purchase health insurance policies, some of which include federal subsidies.

2022 Options

The plans below offer current access to Northwestern Medicine on Get Covered Illinois, the official health insurance marketplace for Illinois for the 2022 calendar year.

  • Blue Choice Preferred PPO
  • Cigna Plus With Northwestern Medicine
    An HMO product that requires the selection of a primary care physician at Northwestern Medicine.

For instructions on how to enroll in any of these plans, please call 312.926.7440, TTY 711.

Catastrophic

Bright Health - Catastrophic Plans

Bronze

Blue Cross Blue Shield of Illinois Blue Precision Bronze HMO
Blue Cross Blue Shield of Illinois Blue Choice Preferred Bronze PPO 201
Blue Cross Blue Shield of Illinois Blue Choice Preferred Bronze PPO 202
Blue Cross Blue Shield of Illinois Blue Choice Preferred Bronze PPO 601
Cigna Plus With Northwestern Medicine 8700 
Cigna Plus With Northwestern Medicine 7500
Cigna Plus With Northwestern Medicine 5000 
Cigna Plus With Northwestern Medicine 7000 
Cigna Plus With Northwestern Medicine Diabetes 6800 

Silver

Blue Cross Blue Shield of Illinois Blue Precision Silver HMO
Blue Cross Blue Shield of Illinois Blue Choice Preferred Silver PPO 203
Blue Cross Blue Shield of Illinois Blue Choice Preferred Silver PPO 206
Cigna Plus With Northwestern Medicine 6000 
Cigna Plus With Northwestern Medicine 3000 
Cigna Plus With Northwestern Medicine 3500 Diabetes Care 
Cigna Plus With Northwestern Medicine Plan 0 
Cigna Plus With Northwestern Medicine Asthma/COPD 4200 
Cigna Plus With Northwestern Medicine 8500 

Gold

Blue Cross Blue Shield of Illinois Blue Precision Gold HMO
Blue Cross Blue Shield of Illinois Blue Choice Preferred Gold PPO 204
Blue Cross Blue Shield of Illinois Blue Choice Preferred Gold PPO 207
Cigna Plus With Northwestern Medicine 1000 
Cigna Plus With Northwestern Medicine 750 
Cigna Plus With Northwestern Medicine 1250 - Northwestern Medicine Only 

AmBetter of IL HMO

  • Palos Hospital
  • NM Immediate Care — Only Palos Region locations
  • NMG — Only for services provided at a Palos Region location
  • RMG — Only for services provided at a Palos Region location

Government plans are a wide range of plans that include a variety of Medicare and/or Medicaid plans. Northwestern Medicine participates in traditional Medicare and Medicaid as well as Family Health Plans (FHP), Integrated Care Plans (ICP) and Medicare-Medicaid Alignment Initiative (MMAI) plans. FHP, ICP and MMAI plans are often available to individuals who were previously eligible for traditional Medicaid but are now accessing managed Medicaid plans through expansion of the Affordable Care Act or “Obamacare.”

Government & Military Plans

Medicare
Medicaid
TriCare East Administered by Humana Military
Veterans Evaluation Services

Medicare Advantage Plans

Aetna – HMO
Aetna – PPO
Aetna – Open Access HMO
Aetna Prime HMO-POS
Blue Cross Blue Shield – PPO
Blue Cross Blue Shield – HMO
Humana HMO Gold Plus
Humana PFFS
Humana PPO
Humana Honor PPO (Veterans Plan)
United Healthcare Chronic Complete Assure (PPO C-SNP)
United HealthCare Medicare Advantage PPO
United HealthCare Medicare Advantage
United HealthCare AARP® Medicare Advantage Plan 1 (HMO)
United HealthCare AARP® Medicare Advantage Plan 2 (HMO)
United HealthCare Medicare Advantage Assure
United HealthCare AARP® Medicare Advantage Choice (PPO)
United HealthCare AARP® Medicare Advantage Walgreens (PPO)
United HealthCare AARP® Medicare Advantage Patriot (PPO)
UnitedHealthcare Nursing Home Plan 1 (HMO/POS-SNP)
UnitedHealthcare Nursing Home Plan 2 (PPO-SNP)
Bright Advantage (HMO)
Bright Advantage Assist (HMO)
Bright Advantage Choice (PPO)
Bright Advantage Choice Plus (PPO)
Longevity Health Plan
Sunrise Advantage Plan- Sunrise Advantage Community Plan (HMO)
Sunrise Advantage Plan- Sunrise Advantage Plan (HMO I-SNP)
WellCare Edge (HMO)
WellCare Essential (HMO)
WellCare Essential (HMO-POS)
WellCare Exclusive (HMO)
WellCare Exclusive (HMO-POS)

Medicare/Medicaid Alignment Initiative Agreements (MMAI)

Aetna Better Health Premier Plan
Blue Cross Blue Shield
Humana
Meridian Complete

Medicaid Managed Care Programs/HealthChoice Illinois

Aetna Better Health
Blue Cross Blue Shield
CountyCare
Meridian
YouthCare IL